Organization
SURGICAL WEIGHT LOSS CLINIC OF EASTERN WASHINGTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL ROSS FOX MD (OWNER &SURGEON)
(509) 943-0710
Entity
Organization
Contact information
Practice address
1075 JADWIN AVE, SUITE 203, RICHLAND, WA 99352-3437
(509) 943-0710
Mailing address
1075 JADWIN AVE, SUITE 203, RICHLAND, WA 99352-3437
(509) 943-0710
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306919725
NPI FOR EARL ROSS FOX
WA
01
—
1699717009
NPI TERRI DAVARI
WA
01
—
1942363353
NPI FOR SAMUEL ROSS FOX
WA
Enumeration date
03/26/2007
Last updated
07/21/2022
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